成功抢救1名新型冠状病毒肺炎继发感染性休克患者  

A Patient with Secondary Septic Shock from COVID-19 Was Successfully Rescued

作　　者：潘月飞 武晓玲[1,2] 许文达 丁连明[1,2] 

机构地区：[1]中国人民解放军陆军第81集团军医院,疾病预防控制科,河北 张家口 [2]泰康同济(武汉)新冠肺炎专科医院感染五科,湖北 武汉

出　　处：《临床医学进展》2020年第8期1747-1751,共5页Advances in Clinical Medicine

摘　　要：目的:总结1例新冠肺炎患者继发感染性休克后的救治经验。方法:通过回顾性分析1例诊断为重型新冠肺炎继发感染性休克患者的救治过程,讨论该类患者的预防措施及治疗方法,为该类患者的救治提供经验参考。结果:对于新冠肺炎继发感染性休克患者应做到早预防、早诊断,治疗应采取及时扩充血容量、有效抗生素、维持有效氧供、纠正酸碱平衡紊乱等措施。结论:早期诊断、早期充分的液体复苏、选择有效的抗生素控制感染、合理有效地使用血管活性药物以及维护组织供氧等可提高该类患者救治成功率。Objective: To summarize the treatment experience of 1 COVID-19 patient with secondary septic shock. Methods: A retrospective analysis was conducted on the treatment process of a patient diagnosed with severe COVID-19 with secondary septic shock, and the preventive measures and treatment methods were discussed to provide empirical reference for the treatment of such patients. Results: Early prevention and diagnosis should be carried out for patients with secondary infectious shock caused by COVID-19. Measures such as timely expansion of blood volume, effective antibiotics, maintenance of effective oxygen supply, and correction of acid-base imbalance should be taken for treatment. Conclusion: Early diagnosis, early full fluid resuscitation, selection of effective antibiotics to control infection, rational and effective use of vasoactive drugs and maintenance of tissue oxygen can improve the success rate of treatment.

关 键 词：新冠肺炎 感染性休克 救治经验 

分 类 号：R47[医药卫生—护理学]